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TAYLOR E NICKERSON MD
NPI 1194104018
Pediatrics - Pediatric Critical Care Medicine in New Hyde Park, NY

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
269-01 76TH AVENUE, NEW HYDE PARK, NY 11040(718) 470-3668 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2021, Jul 2, 2018 (2 updates tracked since 2018).

About Taylor E Nickerson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR E NICKERSON MD (NPI 1194104018) is an individual pediatric critical care medicine provider in New Hyde Park, New York, licensed in New York (310805) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Florida Atlantic University, College Of Medicine (2015).

NPPES Registry Identity

NPI1194104018
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameTAYLOR E NICKERSONCredential: MD
Location Address269-01 76TH AVENUENew Hyde Park, NY 11040-1104
Mailing Address269-01 76th AvenueNew Hyde Park, NY 11040 · (718) 470-3668
Phone(718) 470-3668
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2015
Enumeration DateMay 26, 2015
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1194104018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 310805
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
269-01 76TH AVENUE, New Hyde Park, NY 11040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taylor E Nickerson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688981731
PECOS Enrollment IDI20211004000924
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLE VAINER DO
Student in an Organized Health Care Education/Training Program
269-01 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3204
DR. DALIBOR N KUREPA
Pediatrics (Neonatal-Perinatal Medicine)
269-01 76TH AVENUE, NEONATOLOGY DIVISION NSLIJ
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3440
DR. AMY LAURA NADEL PH.D.
Psychologist
269-01 76TH AVENUE, SUITE 255
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3283
PAULA KREITZER
Pediatrics (Pediatric Endocrinology)
269-01 76TH AVENUE, LIJMC-DEPT OF PEDIATRICS ENDOCRINOLOGY
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3290
DR. LILY BELLA GLATER MD
Pediatrics
269-01 76TH AVENUE, CH222
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3330
MELISSA SUE O'BRIEN PHARMD, BCACP
Pharmacist
269-01 76TH AVENUE, DEPT OF PHARMACY, C LEVEL
NEW HYDE PARK, NY 11040
Nassau County (718) 470-5182
CLARE REID MANDARO DO
Pediatrics (Pediatric Infectious Diseases)
269-01 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3000
DR. JON-PAUL PHILIP DIMAURO M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
269-01 76TH AVENUE, 365
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Nickerson's NPI number?

The NPI number for Taylor Nickerson is 1194104018. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Taylor Nickerson located?

Taylor Nickerson practices at 269-01 76th Avenue, New Hyde Park, NY 11040. The listed phone number is (718) 470-3668.

What is Taylor Nickerson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Taylor Nickerson enrolled in Medicare?

Yes. Taylor Nickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Taylor Nickerson was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.